摘要
目的:探讨腹腔镜胆囊切除术后应用氯诺昔康复合丁丙诺啡镇痛的临床效果。方法:将择期行腹腔镜胆囊切除术患者110例随机分为实验组与对照组,其中对照组56例仅单纯给予丁丙诺啡术后镇痛,实验组54例则采用氯诺昔康复合丁丙诺啡术后镇痛,背景剂量为2ml/h;单次剂量为0.5ml/次;锁定时间均为15min。结果:实验组与对照组镇痛效果比较差异无统计学意义(P>0.05),满意率比较,差异无统计学意义(P>0.05),但两组不良反应发生率相比,实验组明显低于对照组(χ2=12.1,P<0.01),且不良反应中以嗜睡较为常见。结论:氯诺昔康复合丁丙诺啡用于腹腔镜胆囊切除术后镇痛,镇痛效果明显,患者满意度高,且不良反应少,是临床术后镇痛可选用的联合用药方式之一。
Objective：To discuss the clinical effect of lornoxicam combined with buprenorphine for analgesia after laparoscopic cholecystectomy.Methods：Laparoscopic cholecystectomy in 110 cases were randomly divided into experimental group and control group,56 patients in control group given only a simple analgesic buprenorphine,experimental group 54 patients were given analgesic of lornoxicam combined with buprenorphine,background dose for 2 ml/h,a single dose of 0.5 ml/time,lock time was 15 minutes.Results：The experimental group compared with the control group,analgesia there was no significant difference（P〉0.05）,the difference of satisfaction rate was not significant（P〉0.05）,adverse reaction rates of experimental group was significantly lower than the control group（χ^2=12.1,P〈0.01）,and sleepiness was more common in adverse reactions.Conclusion：Lornoxicam combined with buprenorphine for analgesia after laparoscopic cholecystectomy,effect is obvious,patient satisfaction rate is high and less adverse reactions,can be one way of combina tion therapy of postoperative pain.
出处
《中国当代医药》
2010年第33期71-72,共2页
China Modern Medicine
